The Experts below are selected from a list of 114 Experts worldwide ranked by ideXlab platform

Manuel Cohenajimenez - One of the best experts on this subject based on the ideXlab platform.

  • the treatment of Ingrown Nail chemical matricectomy with phenol versus aesthetic reconstruction a single blinded randomized clinical trial
    Journal of Clinical Medicine, 2020
    Co-Authors: Juan Manuel Murielsanchez, Ricardo Becerrodebengoavallejo, Pedro Montanojimenez, Manuel Cohenajimenez
    Abstract:

    Background: In onychocryptosis surgery, incisional and non-incisional matricectomy is indicated according to the stage. The chemical matricectomy with 88% phenol solution is the gold standard and a wedge resection is indicated for more advanced stages. The aesthetic reconstruction has the advantages of the incisional procedure without eponychium incisions and an effectiveness similar to the chemical matricectomy with phenol. Objective: To compare the recurrence and the healing time between the chemical matricectomy with phenol and the aesthetic reconstruction. Methods: A comparative, prospective, parallel, randomized, and one-blinded clinical trial was registered with the European Clinical Trials Database (EudraCT) with identification number 2019-001294-80. Thrity-four patients (56 feet) with 112 onychocryptosis were randomized in two groups. Thirty-six were treated with chemical matricectomy with phenol and 76 with aesthetic reconstruction. Each patient was blind to the surgical procedure assigned by the investigator. The primary outcome measurements were healing time and recurrence. The secondary outcome measurements were post-surgical bleeding, pain, inflammation, and infection rate. Results: The aesthetic reconstruction procedure presents a shorter healing time (8.2 ± 1.4 days vs. 21.3 ± 3.1 days; p 0.05). Conclusions: The aesthetic reconstruction presents a shorter healing time, favoring the patients’ recuperation, with a recurrence similar to the chemical matricectomy with 88% phenol solution.

  • relationship between the presence of abnormal hallux interphalangeal angle and risk of Ingrown hallux Nail a case control study
    BMC Musculoskeletal Disorders, 2015
    Co-Authors: Antonio Cordobafernandez, Pedro Montanojimenez, Manuel Cohenajimenez
    Abstract:

    Many risk factors have been identified to be associated with Ingrown toeNail. Internal pressure by the distal phalanx of the hallux and the second toe and external compression from the shoes has been proposed as a reason for the pathology. The main objective of the study was to analyze the existence of a correlation between the presence of pathological hallux interphalangeal angle (HIA) and risk of Ingrown hallux Nail. One hundred and sixty-five subjects (312 ft) were enrolled in a cross-sectional, analytical and observational case–control study. A radiographic computerized system was used to measure HIA in both groups. The angle was considered as the sum of three angles, obliquity, asymmetry and joint deviation. The mean HIA in case group subjects (patients with hallux Ingrown Nail) was significantly higher than that obtained in control group subjects (17.39 ± 6.0° versus 13.47 ± 4.6°, p = .036). A total of 73.71 and 46.79 % of feet presented an angle equal or greater than 13.47° in the onychocryptosis and control group, respectively. The results show a correlation between the variables analysed. The presence of an HIA greater or equal than 14.5° may be a predisposing factor for developing onychocryptosis of the hallux. Clinicians treating individuals with pathology in hallux might use a baseline cutoff of HIA equal than 13.5°.

Seyhmus Yigit - One of the best experts on this subject based on the ideXlab platform.

  • effects of topical alkane vapocoolant spray on pain intensity prior to digital nerve block for Ingrown Nail surgery
    Foot and Ankle Specialist, 2010
    Co-Authors: Ozkan Kose, Sedat Saylan, Naim Ediz, Seyhmus Yigit
    Abstract:

    Needle penetration and local anesthetic infiltration are 2 painful steps that cause considerable stress and anxiety during digital nerve block, which is the most frequently used regional anesthesia for Ingrown Nail surgery. The purpose of this study was to evaluate the effectiveness of topical alkane vapocoolant spray in decreasing pain during digital nerve block for Ingrown Nail surgery. The authors conducted a prospective, randomized clinical trial with 62 patients who underwent big toeNail surgery. Prior to the digital block, alkane vapocoolant spray was applied to patients who were selected by flipping a coin. A visual analog scale (VAS) was used for assessment of pain during the skin needle penetration and during the infiltration of the anesthetic product. VAS scores during needle penetration were significantly lower in the intervention group. However, VAS scores during infiltration were similar statistically. Alkane vapocoolant spray has no noticeable clinical benefit in decreasing pain intensity during digital nerve block in patients undergoing toeNail surgery.

K C Choi - One of the best experts on this subject based on the ideXlab platform.

  • Nail-splinting technique for Ingrown Nails: the therapeutic effects and the proper removal time of the splint.
    Dermatologic Surgery, 2003
    Co-Authors: Jung‐hun Ko, K C Choi
    Abstract:

    Background. An Ingrown Nail is a common disorder that occurs most frequently in the great toe and causes much discomfort in patients. Although many therapeutic methods have been described, most of them can lead to severe damage to the Nail or to frequent relapses. The Nail-splinting technique is known to be a noninvasive therapeutic method for treating an Ingrown Nail. Objective. Our purpose was to access the recurrence rate of the Nail-splinting technique and to determine the proper removal time of the splint from the Ingrown Nail. Methods. Fifty-seven patients with Ingrown Nail were treated with the Nail-splinting technique. Subjects were randomized into two groups. For group 1 (28 patients), the splint was removed splint 3 days after treatment, whereas for group 2 (29 patients), the splint was removed splint 2 weeks after treatment. All patients underwent a follow-up examination at 1, 2, and 4 weeks after treatment and were evaluated for tissue status and level of pain. After 1 year, we evaluated the rate of recurrence by means of a telephone interview with each patient. Results. A low recurrence rate (8.7%) for the Nail-splinting technique was observed in both groups (7.1% in group 1 vs. 10.3% in group 2). The tissue status and level of pain were found to improve with time, with no statistical significance between the two groups (P> 0.05). Conclusion. This study indicates that the Nail-splinting technique constitutes a very simple and effective, noninvasive therapeutic method for treating Ingrown Nail. We suggest that the 3-day Nail-splinting technique is the most useful when the Nail is intact or has only a slight defect.

Mona Boaz - One of the best experts on this subject based on the ideXlab platform.

  • emla cream prior to digital nerve block for Ingrown Nail surgery does not reduce pain at injection of anesthetic solution
    Acta Anaesthesiologica Scandinavica, 2002
    Co-Authors: F Serour, Y Benyehuda, Mona Boaz
    Abstract:

    Background: Needle penetration and local anesthetic infiltration are painful steps of digital ring block. The objective of this study was to evaluate the efficacy of EMLA® cream application prior to digital ring block for surgery for Ingrown big toeNail. Methods: We conducted a prospective, double-blinded, placebo-controlled, randomized clinical trial with 81 patients (range: 12–75 years, mean ± SD: 30.3 ± 17.5 years), who underwent big toeNail surgery. Prior to the digital block, EMLA cream (Group E) or a placebo cream (Group P) was applied. A visual analog scale (VAS) and a verbal rating score (VRS) from 1 to 10, 10 being most severe pain, were used for assessment of pain during the skin needle penetration and during the infiltration of the anesthetic product. Results: Data of the VAS and of the VRS during the two steps, respectively, show no significant difference in pain rating between the two groups. In Group E, the gender of the patients had a significant effect on pain perception. Male patients reported less pain than female patients, both during the needle skin penetration and during the infiltration step (P < 0.005). In Group P, reported pain did not differ by gender in either step of the procedure. Conclusions: We found no clinical benefit in using EMLA during digital nerve block. Although the digital nerves are not deeply located in the small subcutaneous space of the digit, topical anesthesia may not reach them. Moreover, swelling due to injection of the anesthetic product in this small space may also amplify the sensation of pain.

Coheña Jiménez Manuel - One of the best experts on this subject based on the ideXlab platform.

  • The Treatment of Ingrown Nail: Chemical Matricectomy With Phenol Versus Aesthetic Reconstruction. A Single Blinded Randomized Clinical Trial
    'MDPI AG', 2020
    Co-Authors: Muriel Sánchez, Juan Manuel, Becerro De Bengoa Vallejo, Ricardo, Montaño Jiménez Pedro, Coheña Jiménez Manuel
    Abstract:

    : Background: In onychocryptosis surgery, incisional and non-incisional matricectomy is indicated according to the stage. The chemical matricectomy with 88% phenol solution is the gold standard and a wedge resection is indicated for more advanced stages. The aesthetic reconstruction has the advantages of the incisional procedure without eponychium incisions and an effectiveness similar to the chemical matricectomy with phenol. Objective: To compare the recurrence and the healing time between the chemical matricectomy with phenol and the aesthetic reconstruction. Methods: A comparative, prospective, parallel, randomized, and one-blinded clinical trial was registered with the European Clinical Trials Database (EudraCT) with identification number 2019-001294-80. Thrity-four patients (56 feet) with 112 onychocryptosis were randomized in two groups. Thirty-six were treated with chemical matricectomy with phenol and 76 with aesthetic reconstruction. Each patient was blind to the surgical procedure assigned by the investigator. The primary outcome measurements were healing time and recurrence. The secondary outcome measurements were post-surgical bleeding, pain, inflammation, and infection rate. Results: The aesthetic reconstruction procedure presents a shorter healing time (8.2 ± 1.4 days vs. 21.3 ± 3.1 days; p < 0.001) with a similar recurrence rate (p = 0.98). Post-operatory bleeding, pain, inflammation, and the infection rate did not show significant differences (p > 0.05). Conclusions: The aesthetic reconstruction presents a shorter healing time, favoring the patients’ recuperation, with a recurrence similar to the chemical matricectomy with 88% phenol solution